NPIMap

Individual provider Active NPI

Pankaj Hukku, M.D.

  • Pulmonary Disease Physician
  • Troy, MI
National Provider Identifier
1932198512
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301047842 Issued in MI
Practice address
1380 Coolidge Hwy Ste 110
Troy, MI 48084-7067
Phone
(248) 280-1867
Fax
(248) 280-0222
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301047842 MI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 4301047842 MI
Pulmonary Disease Physician 207RP1001X 4301047842 MI Primary

Addresses

Primary practice location

1380 Coolidge Hwy Ste 110
Troy, MI 48084-7067

Mailing address

PO Box 2502
Birmingham, MI 48012-2502
Phone (248) 280-1867

Other identifiers 1

IdentifierTypeStateIssuer
2571199-10MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phukku27362@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000531 MI Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 9032121686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pankaj Hukku, MD PCGroup PAC ID 9739191610, 2 clinicians

Practice addresses (Care Compare)

1380 Coolidge Hwy
Suite 110
Troy, MI 48084-7067
Phone (248) 280-1867

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: hpankaj331652@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1932198512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2502",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480122502",
            "telephone_number": "248-280-1867",
            "fax_number": "248-280-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY STE 110",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847067",
            "telephone_number": "248-280-1867",
            "fax_number": "248-280-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUKKU",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301047842",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MI",
            "license": "4301047842",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301047842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2571199-10",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phukku27362@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "909 W Maple Rd",
            "address_2": "Suite 105",
            "city": "Clawson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480171000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.